Ahip Final Exam 2027 | Questions And Correct Answers | Latest Update

AHIP FINAL EXAM 2027 |
QUESTIONS AND CORRECT
ANSWERS | LATEST UPDATE




Core Domains
1. Medicare Program Fundamentals: Parts A, B, C, and D
2. Medicare Advantage Plan Types and Eligibility
3. Medicare Part D Prescription Drug Coverage
4. Medigap Supplemental Insurance
5. Enrollment Periods and Election Rules
6. Marketing, Communications, and Compliance
7. Fraud, Waste, and Abuse (FWA)
8. Beneficiary Protections, Appeals, and Grievances

,Introduction
The AHIP Final Exam 2027 is the required certification
assessment for licensed insurance agents and brokers seeking to
sell Medicare Advantage (MA) and Prescription Drug Plans (PDP).
This comprehensive examination evaluates knowledge of
Medicare Parts A, B, C, and D, including eligibility, enrollment
periods, plan types, and benefit structures. The assessment
emphasizes CMS marketing compliance rules, Scope of
Appointment requirements, and Fraud, Waste, and Abuse (FWA)
prevention. The multiple-choice and scenario-based format tests
real-world application of regulatory standards, ethical sales
practices, and beneficiary protection protocols to ensure agents
are prepared for compliant professional practice.
SECTION ONE: QUESTIONS 1–100
1. A licensed agent is conducting a telephonic enrollment
for a Medicare Advantage plan. According to CMS
regulations, what is the minimum retention period for the
complete audio recording of this enrollment interaction?
A. 3 years
B. 5 years
C. 7 years
D. 10 years

Correct Answer: D
RATIONALE: CMS mandates that all enrollment records,
including telephonic enrollment call recordings, be retained for a
minimum of 10 years.
2. A beneficiary signs a Scope of Appointment (SOA) form
on Tuesday morning during an educational event. Under
the standard CMS 48-hour rule, what is the earliest day the

,agent can conduct a personal one-on-one sales meeting
with this individual?
A. Tuesday afternoon
B. Wednesday morning
C. Thursday morning
D. Friday morning

Correct Answer: C
RATIONALE: The 48-hour rule requires a clear window
between SOA signing and the one-on-one marketing
appointment. Tuesday morning plus 48 hours makes Thursday
morning the earliest allowable time.
3. A consumer turns 65 on July 20th and wishes to enroll
in a Medicare Advantage plan using their Initial Enrollment
Period (IEP). What is the final calendar date of their IEP?
A. August 31st
B. September 30th
C. October 31st
D. November 30th

Correct Answer: C
RATIONALE: The IEP spans 7 months: 3 months before the
birth month, the birth month itself, and 3 months after. For a July
birthday, the post-birth months are August, September, and
October.
4. A beneficiary is enrolled in both a Medicare Advantage
plan and a Medigap policy. Why is this a compliance
concern?
A. Medigap plans are only available during the Initial Enrollment
Period
B. It is illegal to sell a Medigap policy to someone enrolled in a

, Medicare Advantage plan
C. Medicare Advantage plans automatically include supplemental
coverage
D. Medigap policies duplicate Medicaid benefits, not Medicare
benefits

Correct Answer: B
RATIONALE: Federal law prohibits the sale of a Medigap policy
to someone enrolled in a Medicare Advantage plan, as Medigap
cannot pay for MA plan cost-sharing.
5. A Medicare beneficiary with Original Medicare wants
assistance paying deductibles and coinsurance. Which
option is designed for this purpose?
A. Medicare Advantage PPO
B. Medigap policy
C. Medicaid Expansion
D. Employer disability insurance

Correct Answer: B
RATIONALE: Medigap policies are specifically designed to
cover certain out-of-pocket costs associated with Original
Medicare, including deductibles and coinsurance.
6. Which Medicare plan type combines hospital, medical,
and often prescription drug coverage into one plan?
A. Medigap
B. Medicare Advantage
C. Stand-alone Part D
D. Medicare Cost Plan

Correct Answer: B
RATIONALE: Medicare Advantage (Part C) plans bundle